Organization
LIFETIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M INZANA (CEOFOUNDER)
(609) 771-1600
Entity
Organization
Contact information
Practice address
2205 PENNINGTON RD, TRENTON, NJ 08638-1212
(609) 771-1600
(609) 530-1648
Mailing address
2205 PENNINGTON RD, TRENTON, NJ 08638-1212
(609) 771-1600
(609) 530-1648
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
08/22/2020
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